Individual
MS. VICTORIA JEAN SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP, AGPCNP-BC
Contact information
Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-5909
(415) 750-5910
Mailing address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-5909
(415) 750-5910
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95002514
CA
363LG0600X
Gerontology Nurse Practitioner
95002514
CA
Other
Enumeration date
03/28/2016
Last updated
05/18/2016
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